World Bank – This paper focuses on efficiency and equity in the financing of health services, and the evolving role of central and local government in the health sector. Thailand has seen significant improvements in health outcomes and succeeded in expanding the coverage of health protection schemes over the last decades. While the achievements of Thailand’s health system are undeniable, this paper highlights three key challenges: 1) inequalities in utilization and spending; 2) mounting cost pressures; and 3) fragmentation of financing and unresolved issues concerning the respective roles of central and local government.
Government spending and central-local relations in Thailand’s health sector
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